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Organization
BETHESDA HEALTH PHYSICIAN GROUP, INC.
Active
Organization
BETHESDA HEALTH PHYSICIAN GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA GRAVALESE (AUTHORIZED OFFICIAL)
(561) 955-5155
Entity
Organization
Contact information
Practice address
2815 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7969
(561) 737-7733
(561) 733-5912
Mailing address
2815 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7969
(561) 737-7733
(561) 733-5912
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119515300
—
FL
05
—
2563126
—
FL
Enumeration date
10/11/2006
Last updated
04/18/2025
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